Radiology billing with its own nuances of procedures involved can be complex requiring in-depth knowledge and understanding of the Diagnostic and Imaging procedural coding and billing services. With the complexities of processing Radiology Billing, denial percentages have always been uncontrollable affecting the bottom line of the Medical Practice and Billing Company. It is essential to ensure your financial objectives are not compromised while handling Radiology Billing, therefore understanding the complexities involved in Radiology Billing is crucial to curb them. Let us discuss the major complexities involved in Radiology Billing.
Complexities of Radiology Billing
- Coding Errors are the most common complexity in Radiology Billing. Truncated codes, missed modifiers, diagnosis codes inconsistent with procedure code are some coding errors leading to claim denials.
- Insufficient documentation leads to coding errors, Radiology coders require detailed documentation for the procedure done to ensure all the billable codes are appended appropriately.
- Payer-related guidelines can differ, not following payer-specific or client-specific guidelines on what needs to be coded and on deciding the primary and secondary codes are critical to ensure maximum collection.
- Missing on Insurance Eligibility Verification or checking on Prior Authorization and referrals as and when required can mean denied claim affecting the cash-flow
- Eligibility Verification also helps avoid denials due to coverage terminated or service not covered. It also eradicates many other payers and coverage-related reasons causing claim denials.
- Denials due to duplicate claims are another common factor. Ensuring proper update of modifiers to differentiate claims that seem to duplicate by the nature of services but are billable is imperative. The coding team can avoid such denials.
Steady Process Flow With Intelligent Methodology
Radiology Billing and Coding needs undivided attention right from Demographic Entry to the complete scope of services until the claims are closed successfully with all due reimbursement collected, which necessitates cleaner claims processing. Quality comes with dedication and an ingenious approach to achieve an intended outcome. Striving towards quality should be part of each and every scope of billing services. A steady Protocol or a streamlined process will help each billing staff to focus on flawless billing.
Quality Radiology Billing
Quality Radiology Billing is the goal for any billing company in the US, however, achieving the set quality percentage needs trained and experienced Radiology Billers with Certified Radiology Coders. Approaching an Offshore based billing company with more than 2 decades of expertise in the field of Radiology Billing and Revenue Cycle Management is the best solution to the above-mentioned complexities in Radiology Billing
An offshore-based billing Company can process your Radiology billing efficiently. Understanding the unique requirements for handling the technical and professional component of Radiology Billing, and processing each and every claim to ensure maximum reimbursement.
About e-care
e-care is one of the leading Medical Billing Companies providing complete Revenue Cycle Management Services for more than 2 decades. With more than 100+ clients across various states in the US and being a multi-specialty billing company, ecare can ensure reduced billing complexities and maximize revenue flow. To know more about our Radiology billing expertise log on to www.ecareindia.com